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eddoc

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  1. It is (perhaps deliberately) vaguely worded in the initial communication but implies that everyone would have to take a proctored specialty exam in addition to the take home exam. If you do well enough, then you get the CAQ. The fact that they spell out remediation consequences for the specialty exam support that understanding. At present, if you don't qualify for the CAQ the only remediation is that which you impose upon yourself. The two required exam scenario is clearly the understanding of the AAPA as voiced in Katz's rebuttal. They explain it in more detail here: https://www.nccpa.net/panre-model
  2. OK, I get that publication of such articles is frustrating but do you really expect nursing schools to include PAs in their studies? Why would they do that when their not-so-hidden agenda is to prove their superiority? We have not had meaningful PA workforce research for years while the nurses have been churning this stuff out with great regularity. You may not like their methods, you may find fault (as do I) with their research design and sources, but like it or not, it IS getting published. If you want to fight back, defend PA practice at home and nationally, create greater autonomy and/or change your scope of practice, then there must be commensurate PA research demonstrating PA competence to do so. Years ago family medicine created research rings with each ring generating a question for which data could be gathered over a set time period. The data was collated and voila - a publishable paper. As a matter of fact, one of the largest NIH grants for family medicine was granted on the basis of the research rings and its data generated. Reach out to practices similar to yours and create a research collaborative in conjunction with a PA program. The faculty need the research experience and they need your data to do so.
  3. I am interested in folks thoughts about the NCCPA's proposed changes to PANRE (essentially Pathway II) and required CAQ exam?
  4. Bruce: Actually, we both started at the same time. The first NP program was at the University of Colorado and started in 1965. Nevertheless, I agree that our poor marketing, unfortunate name and poorly understood supervision requirement make it extremely unlikely that we will overcome this in the near future.
  5. British PA's officially changed their name to physician associate last year.
  6. Frankly, you would have to be an extraordinarily competitive candidate for a program to take a chance on someone with two DUI's. One, maybe. But two sounds like a substance abuse problem or at the least a failure to learn from prior mistakes.
  7. The pay will (hopefully) be equal when the minimum academic requirements are equal. We can argue about equivalent competencies but in a degree driven environment, the degree difference translates directly into compensation. Write to Denny or Cathy, but only if you are willing to change the minimum expectation for the PA applicant to a master's as well. Then be prepared for the NP to change the minimum to a DNP.
  8. Fortunately or unfortunately as the case may be, a person is a "doctor" when a doctorate is conferred. Therefore, these assistant physicians, having received an MD, are doctors and unless this legislation indicates otherwise, can call themselves doctors. On the other hand, practice rights are derived from state law and hospital bylaws and do not necessarily require board certification for either licensing or privileges. It remains to be seen what Missouri and its hospitals will do to operationalize this disaster but perhaps the State Board will drag its heels writing regulation giving sufficient time for an injunction.
  9. Additionally, "F" there is no demonstrable cause and effect relationship between more guns in the hands of Americans and fewer firearm deaths (e.g. the old "an armed society is a polite society saw") Re the social sciences discussions an equally compelling reason is the tendency for firearm deaths to be among younger generations while our population is aging. My only experience with gunshot mortality is in children and any percentage is too high.
  10. Actually, doctor means teacher from the latin verb "docere" to teach. Physician was first used in about the 13th century and is probably French derived from physique meaning things related to nature.
  11. Paul: You've done a nice job of collating information from a variety of sources. A couple of corrections, however: the Walter Sisulu University program in South Africa is alive and well. There have been some changes in the Mthatha faculty and their twinning relations with the University of Colorado is winding down but they have not closed the program. Also, the University of Limpopo never started a program although there were plans to do so before the leadership changed. Zambia trains clinical officers and medical licentiates at Chainama and has been doing so for nearly 20 years. Rwanda re-opened its clinical officer program about two years ago after the various medical training programs were all brought under the umbrella of the University of Rwanda. Finally Ghana has 4 programs - the College of Health and Well-being, Kintampo (formerly the Kintampo Rural Health Training School) trains diploma medical assistants, Central University and Presbyterian University College train physician assistants and grant a B.Sc.
  12. Sorry - realized I didn't really answer your question. Bottom line is in our neck of the woods, the work-around is just too difficult and PAs don't work in hospice. It isn't quite so onerous for palliative care, though and so they stick to that end.
  13. Unfortunately Medicare doesn't cover physician assistant care delivered to hospice patients who are using Medicare's hospice benefit when the care you are delivering is related to condition that qualifies them for hospice. We ran into this when our geriatric service was trying to hire PAs and ended up having to use NP's (who are recognized by Medicare as "attending physicians") You can be reimbursed for any care that isn't related to their terminal condition.
  14. I have to differ with EMED - I know of no objective data that supports USC being "better" than Pace - both have respectable PANCE pass rates at or above the national rate. More importantly, they are very different in their perspectives; USC is heavily focused on family medicine ( 2 FM rotations) while Pace is more generalist in its perspective (1 Primary Care). While USC is 33 months long, you get the first summer off so both are 7 academic semesters. Certainly Pace is newer but ultimately I would encourage you to enter the program that will best prepare you for what you want to do. If its Family Medicine then go to USC; if you aren't sure or you know you want to do something else, then go to Pace.
  15. dmdpac - the DWB/MSF teams stay in place for extended periods - hence the hiring of locally trained folks when they can. Unless and until there are uniform qualifications for PA analogue training programs, the credentialing of American PA's internationally will continue to be problematic. For example, technically American PAs can work in South Africa as clinical associates but in fact, it is so difficult to get credentialed through the HPC that those "in country" work as teacher/trainers - not as clinicians.
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